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Organization

EMBODI, LLC.

Active
Other names
Embodi Physical Therapy and Sports Performance
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD W WEATHERS JR. PT, DPT, SCS, ATC (FOUNDER / CEO)
(980) 254-1592
Entity
Organization

Contact information

Practice address
420 MARVIN RD, FORT MILL, SC 29707-9670
(980) 254-1592
Mailing address
420 MARVIN RD, FORT MILL, SC 29707-9670
(980) 254-1592

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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